BETHANY LYNN STACK P.A.
NPI 1184619876
Physician Assistant - Medical in Rutland, VT

Q: What is Bethany Stack's NPI number?

The NPI number for Bethany Stack is 1184619876. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Bethany Stack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Stack was last updated on March 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment

3 ALBERT CREE DR, RUTLAND, VT 05701(802) 775-2937(802) 773-0934 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bethany Lynn Stack P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY LYNN STACK P.A. (NPI 1184619876) is an individual medical provider in Rutland, Vermont, licensed in Vermont (055-0030670) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1184619876

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameBETHANY LYNN STACKCredential: P.A.

Location Address3 ALBERT CREE DRRutland, VT 05701-4601

Mailing Address3 Albert Cree DrRutland, VT 05701-4601 · (802) 775-2937 · Fax (802) 773-0934

Phone(802) 775-2937

Fax(802) 773-0934

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 19, 2005

Last NPPES UpdateMarch 3, 2011

✔ NPI 1184619876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VT · 055-0030670

3 ALBERT CREE DR, Rutland, VT 05701

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Other Identifiers 3

Medicare UPINQ18699VT

Medicare ID-Type UnspecifiedAP2125VT

Other00059907VT · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bethany Lynn Stack P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436129277

PECOS Enrollment IDI20040728001404

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

215 services130 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

126 services104 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

53 services49 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

38 services38 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

34 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470005

Location160 Allen StRutland, VT 05701 · Rutland County

Emergency services Birthing friendly

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470012

Location100 Hospital DriveBennington, VT 05201 · Bennington County

Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471307

Location115 Porter DriveMiddlebury, VT 05753 · Addison County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers12 claims12 services$70.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC JAMES MARSH MD

Surgery

3 ALBERT CREE DR, VERMONT ORTHPAEDIC CLINIC
RUTLAND, VT 05701

Rutland County (802) 775-2937

VERMONT ORTHOPAEDIC CLINIC INC

Orthopaedic Surgery